| NPI | 1598702573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE RICHARDS Secretary 909-517-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2009-03-10 |